| NPI | 1053068759 |
|---|---|
| Former Name | ABIGAIL REILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2022004180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070025743) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-08-22 |